30D2031334 CLIA NUMBER - KEENE VA OUTREACH CLINIC

Home > CLIA Lookup > 30D2031334

Laboratory Demographics

CLIA Number: 30D2031334

Facility Name: KEENE VA OUTREACH CLINIC

Facility Address:
630 MARLBORO STREET
KEENE, NH
ZIP 03431
Get Directions

Facility Phone Number: 603 358-4900

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1124397211

Taxonomy: 261QV0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	30D2031334
LAB Type	Community Clinic
Facility Name	KEENE VA OUTREACH CLINIC
Street	630 MARLBORO STREET
City	KEENE
State	NH
ZIP	03431
Phone	603 358-4900
CertificateType	1
CertificateEffectiveDate	10/18/2011
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024